B9157 - ANESTESIOLOGIA

Learning outcomes

At the end of the course, students will have acquired fundamental knowledge of the management of workplace emergencies, syncope (presyncope/fainting), bronchial asthma, and cardiac chest pain. They will also have gained practical familiarity with the principles of cardiopulmonary resuscitation (CPR) through mannequin-based simulation training.

Course contents

1.Introduction to anesthesia and pain management. Neurophysiological, pathophysiological, and clinical foundations of pain perception.

2.Preoperative patient management. Anesthetic premedication, patient positioning on the operating table, and standard intraoperative monitoring.

3.General anesthesia. Induction of anesthesia, airway management and tracheal intubation, major classes of anesthetic agents, maintenance of anesthesia, and emergence from anesthesia.

4.Regional anesthesia. Techniques of topical anesthesia, peripheral nerve and plexus blocks, and neuraxial anesthesia (spinal and epidural). Epidural anesthesia and analgesia.

5.Postoperative pain management. Techniques and modalities of postoperative pain control, analgesic medications, pain assessment, and the organization and role of the Acute Pain Service (APS).

Readings/Bibliography

Teaching materials provided during the lectures constitute the primary resource for the course. For further reading and a more in-depth understanding of the topics covered, students are encouraged to consult the following textbooks:

• Butterworth J.F., Mackey D.C., Wasnick J.D. Morgan & Mikhail's Clinical Anesthesiology. 7th Edition. McGraw-Hill Education, 2022.
• Pardo M.C., Miller R.D. Basics of Anesthesia. 8th Edition. Elsevier, 2022.
• Gropper M.A., Eriksson L.I., Fleisher L.A., Cohen N.H., Leslie K., Johnson-Akeju O. (Eds.). Miller's Anesthesia. 10th Edition. Elsevier, 2024.

Recommended Scientific Journals

Students are encouraged to consult the following peer-reviewed journals for further reading and updates on current evidence and clinical practice:

• Anesthesiology
• British Journal of Anaesthesia
• European Journal of Anaesthesiology and Intensive Care
• Regional Anesthesia & Pain Medicine
• Pain
• Anaesthesia

 

Teaching methods

Interactive lectures are designed to provide students with the fundamental principles of anesthesiology, perioperative medicine, and pain management.

Teaching activities are complemented by the discussion of clinical cases and the analysis of perioperative scenarios, with particular emphasis on preoperative assessment, the main anesthetic techniques, intraoperative monitoring, and postoperative pain management.

During the lectures, multimedia teaching resources are used to facilitate the understanding of the pathophysiological, pharmacological, and clinical principles of anesthesia.

The course promotes an evidence-based medicine (EBM) approach, fostering the integration of theoretical knowledge with clinical practice, with particular emphasis on patient safety and the multidisciplinary management of perioperative care.

Students with learning disorders and/or temporary or permanent disabilities are invited to contact the relevant University office (https://site.unibo.it/studenti-con-disabilita-e-dsa/en/for-students ) as soon as possible so that appropriate accommodations can be arranged. Requests for accommodations must be submitted to the lecturer in advance (at least 15 days before the exam date). The lecturer will assess the appropriateness of the requested accommodations, taking into account the learning objectives of the course.

Assessment methods

Assessment consists of an oral examination, which may include the discussion of clinical cases, and is designed to evaluate the student's achievement of the learning objectives.

The examination assesses the student's ability to:

• demonstrate knowledge of the principles of general and regional anesthesia;
• describe the neurophysiological basis of pain and the principles of perioperative pain management;
• discuss preoperative assessment, patient monitoring, and the fundamentals of intraoperative management;
• understand the pharmacology of the principal anesthetic agents and analgesics;
• apply theoretical knowledge to common perioperative clinical scenarios.

Assessment is based on the accuracy and completeness of the knowledge acquired, the appropriate use of scientific terminology, the ability to integrate concepts across the topics covered, and the student's clinical reasoning skills.

The final grade is expressed on a 30-point scale (out of 30).

Teaching tools

Teaching materials provided by the instructor in the form of lecture slides presented during class.

Office hours

See the website of Fabrizio Monaco